Photoselective Vaporization of the Prostate in the Management of Lower Urinary Tract Symptoms in Prostate Cancer Patients on Active Surveillance.

Objective: To demonstrate the safety and efficacy of photoselective vaporization of the prostate in alleviating refractory lower urinary tract symptoms in prostate cancer patients who are managed with active surveillance and to explore the association of this procedure with prostate specific antigen (PSA) levels and cancer progression rates.

Methods: Between 2008-2018, active surveillance patients who had refractory symptoms and needed surgery were studied. Perioperative functional variables were collected and analyzed.

Management of Lower Urinary Tract Symptoms After Pelvic Radiation in Females.

Purpose Of Review: To present the available literature pertaining to the management of lower urinary tract symptoms (LUTS) after pelvic radiation (RT) in female patients treated for pelvic malignancy.

Recent Findings: Recent publications have focused on isolating de novo RT-induced LUTS in women from other contributors to urinary symptoms such as pelvic surgery and chemotherapy. There is a paucity of literature on the treatment of RT-related changes to urinary function.

Preoperative symptoms predict continence after post-radiation transurethral resection of prostate.

Introduction: Lower urinary tract symptoms and retention are known complications of radiation for prostate cancer and traditionally transurethral resection of the prostate (TURP) has been avoided in these patients because of the risk of incontinence. The purpose of this study was to evaluate the incidence and predictors of post-TURP incontinence in previously radiated patients.

Materials And Methods: One-hundred and eleven patients who underwent brachytherapy or external beam radiotherapy for prostate cancer with subsequent TURP performed between 1992 and 2012 at a single institution were identified.

The epidemiology of renal trauma.

Introduction: Nonoperative and minimally invasive management techniques for both blunt and penetrating renal trauma have become standard of care over the past decades. We sought to examine the modern epidemiology of renal trauma over the past decade.

Methods: A systematic review of PubMed from the past decade was conducted to examine adult and pediatric renal trauma.

Simple circumcision device: proof of concept for a single-visit, adjustable device to facilitate safe adult male circumcision.

Objective: To conduct a proof-of-concept study to determine the potential utility of a novel, adjustable single-visit, disposable device to facilitate rapid adult circumcision.

Design: Prospective pilot trial of a novel surgical device.

Setting: Tertiary care Veterans Administration medical center.

Primary realignment of pelvic fracture urethral injuries.

This article reviews the history, indications, technique, complications, and outcomes of primary urethral realignment of pelvic fracture urethral injuries. In clinically stable patients, an attempt at endoscopic urethral realignment is appropriate and may result in long-term urethral patency. However, long term follow up is necessary due to elevated rates of delayed stricture formation requiring endoscopic or surgical repair.

Influence of sildenafil on genital engorgement in women with female sexual arousal disorder.

Introduction: We previously described dynamic, noncontrast magnetic resonance imaging (MRI) of the female genitalia as a reproducible, nonintrusive, objective means of quantifying sexual arousal response in women without sexual difficulties. These studies showed an increase in clitoral engorgement ranging from 50 to 300% in healthy women during sexual arousal.

Aim: This study sought to evaluate the genital arousal response in women with female sexual arousal disorder (FSAD) after administration of sildenafil and placebo.

Outcomes of endoscopic realignment of pelvic fracture associated urethral injuries at a level 1 trauma center.

Purpose: We examined the success of early endoscopic realignment of pelvic fracture associated urethral injury after blunt pelvic trauma.

Materials And Methods: A retrospective review was performed of patients with pelvic fracture associated urethral injury who underwent early endoscopic realignment using a retrograde or retrograde/antegrade approach from 2004 to 2010 at a Level 1 trauma center. Followup consisted of uroflowmetry, post-void residual and cystoscopic evaluation.

Corpus cavernosum electromyography revisited: defining the origin of the signal.

Purpose: We performed this study to identify the source of complexes recorded during corpus cavernosum electromyography.

Materials And Methods: A total of 10 healthy male volunteers 19 to 54 years old (mean age 36) with normal erectile function, participated in the study. A Porti electrodiagnostic system (TMS International, Enschede, The Netherlands) connected to a notebook computer recorded low frequency corpus cavernosum electromyography complexes via penile surface electrodes in 3 phases.